Indirect immunofluorescent assay (IFA) in buffy coat as a rapid diagnostic test for invasive candidiasis.

In order to have a diagnostic test for invasive candidiasis, an immunofluorescent assay (IFA) in buffy coat was developed and evaluated. This test was compared to buffy coat culture and blood culture. The study was divided into two parts: evaluation of the diagnostic test in a rabbit model, and for diagnosis in patients at high risk for invasive candidiasis.

[The Mortality Committee: a hospital need].

Mortality Committees are multidisciplinary teams whose function is to analyze preventable causes of death in order to decrease the death rate, to contribute to the education of medical and paramedical staff and also to advise the hospital authorities in medical and administrative decision-making. In this paper we discuss the activities of the Mortality Committee of the Hospital de Pediatria from May 1989 to May 1991. The review comprised 202 death cases occurred during this period, and was carried out by the medical personnel involved in attending those cases while alive.

[The degree of agreement of the clinical and the histopathological diagnoses in a tertiary medical care pediatric hospital].

In Pediatric Hospital, from the National Medical Center, of the Mexican Institute of Social Security were analyzed 96 histological pieces: 59 biopsies, 21 surgical material and 16 slides. There were showed the agreement rate between clinical diagnosis and the end histopathological report from the Pathology Department. The higher correlation rate were with biopsies (83%) and surgical material (81%) and the lowest rate were with slides samples (69%).

[Evaluation of primary cicatrization of anastomosis of small intestine (experimental study in guinea pigs)].

The healing process carried out during the first 72 hours of the anastomotic line of the small intestine has not been satisfactorily studied. This is a time during which intestinal transit is evaluated and oral feeding is given without being really sure whether there is resistance to rupture and if the open surgical technique favors local infection. For this study, 120 guinea pigs submitted to end-to-end anastomosis were used, 30 with continuous sutures and 30 with separate stitches, who were examined 24, 48 and 72 hours after the surgery, plus another group similarly evaluated immediately after the surgery, finding that rupture resistance is greater immediately after surgery than 48 or 72 hours later and that in these, the inflammatory process is greater and a more positive number of cultures are found.

[Congenital nephrotic syndrome of Finnish type (report of a case)].

The case reported was that of a 3-month-old infant without important history. The onset of the disease took place one week before admission with edema, abdominal distention, diarrhea and vomiting. At the physical examination, he showed anasarca with important ascites and a right pneumonic process.

[Congenital posterolateral diaphragmatic hernia].

Eighty-four cases of posterolateral diaphragmatic hernia in children are reviewed. The most frequent signs were respiratory insufficiency, cyanosis and costal indrawing. The diagnosis was clinically established in over one half of the cases.